Aa
Heavy growth of Enterococcus Faecalis in semen - right antibiotics??
I had a semen test and I received good volume, count, motility results.
However, the culture test came back showing a "heavy growth of Enterococcus Faecalis (Group D)". The sensitivity analysis shows sensitive to all antibiotics (except for one, Clindamycin).
WBCs (Hpf): 6-8
RBCs (Hpf): 1-2
Epithelial Cells and Clumps seen
I have very few symptoms - very slight sensation when urinating - and moderate white growth just below tip of penis.
I have been prescribed Zithromax (Azithromycin) 250mg (6 tablets - take 2 on first day and take 1 for next 4 days)
MY QUESTIONS:
1) For a first-time treatment, does this course of antibiotics make sense? (is it the best antibiotic? Is it the best strength and length of dose?)
2) Are there any additional tests I should do before commencing the course of antibiotics? For example, the culture showed up in the semen analysis, is it possible that the semen was just contaminated by the white growth on the penis on the way out? If so, should I get a further culture done just by wiping the tip of the penis? Should I get a urine culture done?
2) If its best to proceed with the course, what should my immediate next steps be after completing the course, to ensure the infection has been treated effectively and treated completely?
Additional information if its useful...
- 30 year old male
- generally very healthy
- Western expat living in an emerging country where the doctors are not good, advice is generally poor and not trusted
However, the culture test came back showing a "heavy growth of Enterococcus Faecalis (Group D)". The sensitivity analysis shows sensitive to all antibiotics (except for one, Clindamycin).
WBCs (Hpf): 6-8
RBCs (Hpf): 1-2
Epithelial Cells and Clumps seen
I have very few symptoms - very slight sensation when urinating - and moderate white growth just below tip of penis.
I have been prescribed Zithromax (Azithromycin) 250mg (6 tablets - take 2 on first day and take 1 for next 4 days)
MY QUESTIONS:
1) For a first-time treatment, does this course of antibiotics make sense? (is it the best antibiotic? Is it the best strength and length of dose?)
2) Are there any additional tests I should do before commencing the course of antibiotics? For example, the culture showed up in the semen analysis, is it possible that the semen was just contaminated by the white growth on the penis on the way out? If so, should I get a further culture done just by wiping the tip of the penis? Should I get a urine culture done?
2) If its best to proceed with the course, what should my immediate next steps be after completing the course, to ensure the infection has been treated effectively and treated completely?
Additional information if its useful...
- 30 year old male
- generally very healthy
- Western expat living in an emerging country where the doctors are not good, advice is generally poor and not trusted
Anybody? I would really appreciate an answer (or some thoughts or suggestions) before I start taking the course of antibiotics.
Looking forward to your responses...
Kind regards.
Looking forward to your responses...
Kind regards.
Have an Answer?
You are reading content posted in the Urology Community
Discharge often isn't normal, and could mean an infection or an STD.
Dr. Jose Gonzalez-Garcia provides insight to the most commonly asked question about the transfer of HIV between partners.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
